Hostname: page-component-78c5997874-8bhkd Total loading time: 0 Render date: 2024-11-19T03:48:01.676Z Has data issue: false hasContentIssue false

The role of transesophageal echocardiography in the evaluation of patients with atrioventricular septal defect

Published online by Cambridge University Press:  19 August 2008

Jeffery F. Smallhorn*
Affiliation:
From the Division of Cardiology, The Hospital For Sick Children, Toronto and The Department of Pediatrics, The University of Toronto, Toronto
Donald Perrin
Affiliation:
From the Division of Cardiology, The Hospital For Sick Children, Toronto and The Department of Pediatrics, The University of Toronto, Toronto
Norman Musewe
Affiliation:
From the Division of Cardiology, The Hospital For Sick Children, Toronto and The Department of Pediatrics, The University of Toronto, Toronto
John Dyck
Affiliation:
From the Division of Cardiology, The Hospital For Sick Children, Toronto and The Department of Pediatrics, The University of Toronto, Toronto
Christine Boutin
Affiliation:
From the Division of Cardiology, The Hospital For Sick Children, Toronto and The Department of Pediatrics, The University of Toronto, Toronto
Robert M. Freedom
Affiliation:
From the Division of Cardiology, The Hospital For Sick Children, Toronto and The Department of Pediatrics, The University of Toronto, Toronto
*
Dr J. F. Smalihorn, Division of Cardiology, The Hospital For Sick Children, 555 University Avenue, Toronto, Ontario M5G 1X8, Canada

Extract

Cross-sectional echocardiography has made a major contribution to the preoperative evaluation of the patient with an atrioventricular septal defect,1−5 such that in many instances this modality has been the sole imaging technique used to formulate a medical or surgical plan6. With the advent of Doppler echocardiography additional hemodynamic information is now available, which enables the cardiologist and surgeon to evaluate the site and magnitude of associated atrioventricular valvar regurgitation, and obtain an accurate measurement of pulmonary arterial pressure along with an assessment of outflow tract obstruction, if present.

Type
The World Forum for Pediatric Cardiology Symposium on Atrioventricular Septal Defect
Copyright
Copyright © Cambridge University Press 1991

Access options

Get access to the full version of this content by using one of the access options below. (Log in options will check for institutional or personal access. Content may require purchase if you do not have access.)

References

Hagler, DJ, Tajik, AJ, Seward, JB, Mair, DD, Ritter, DG.Real time wide angle sector echocardiography: atrioventricular canal defects. Circulation 1979; 59: 140149.CrossRefGoogle ScholarPubMed
Mortera, C, Rissech, M, Payola, M, Miro, C, Perich, R.Cross sectional subcostal echocardiography: atrioventricular septal defects and short axis cut. Br Heart J 1987; 58: 267273.CrossRefGoogle ScholarPubMed
Sahn, DJ, Tery, RW, O'Rourke, R, Leopold, G, Friedman, WF.Multiple crystal echocardiographic evaluation of endocardial cushion defect. Circulation 1974; 50: 2532.CrossRefGoogle ScholarPubMed
Silverman, NH, Zuberbuhler, JR, Anderson, RH.Atrioventricular septal defects: cross-sectional echocardiographic and morphologic comparisons. Int J Cardiol 1986; 13: 309331.CrossRefGoogle ScholarPubMed
Smallhorn, JF, Tommasini, G, Anderson, RH, Macartney, FJ.Assessment of atrioventricular septal defects by two dimensional echocardiography. Br Heart J 1982; 47: 109121.CrossRefGoogle ScholarPubMed
Lipschultz, SE, Sanders, SP, Mayer, JE, Colan, SD, Lock, JE.Are routine preoperative cardiac catheterization and angiocardiography necessary before repair of ostium primum atrial septal defect? J Am Coll Cardiol 1988; 11: 373378.CrossRefGoogle Scholar
Ungerleider, RM, Kisslo, JA, Greeley, WJ, Van rigt, P, Sabiston, DC Jr. Intraoperative pre-bypass and post-bypass epicardial color flow imaging in the repair of atrioventricular septal defects. J Thorac Cardiovasc Surg 1989; 98: 90100.CrossRefGoogle Scholar
Roberson, DA, Muhiudeen, IA, Silverman, NH.Transesophageal echocardiography in pediatrics: Technique and limitations. Echocardiography 1990; 6: 699712.CrossRefGoogle Scholar
Ritter, SB.Transesophageal echocardiography in children: new peephole to the heart. J Am Coll Cardiol 1990; 16: 447450.CrossRefGoogle ScholarPubMed
Stumper, OF, Elzenga, NJ, Hess, J, Sutherland, GR.Transesophageal echocardiography in children with congenital heart disease: An initial experience. J Am Coll Cardiol 1989; 16:433441.CrossRefGoogle Scholar
Ebels, T, Meijboom, EJ, Anderson, RH.Anatomic and func tional “obstruction” of the outflow tract in atrioventricular septal defects with separate valve orifices (“ostium primum atrial septal defect”): An echocardiographic study. Am J Cardiol 1984; 54: 843847.CrossRefGoogle Scholar
Trowitzsch, E, Bando-Rodrigo, A, Burger, BM, Colan, SD, Sanders, SP.Two-dimensional echocardiographic findings in double orifice mitral valve. J Am Coll Cardiol 1985; 6: 383387.CrossRefGoogle ScholarPubMed
Chin, AJ, Bierman, FZ, Sanders, SP, Williams, RG, Norwood, WI, Castañeda, AR.Subxyphoid 2-dimensional echocardiographic identification of left ventricular papillary muscleanoma- lies in complete common atrioventricular canal. Am J Cardiol 1983; 51: 16951699.CrossRefGoogle Scholar
Smallhorn, JF, Huhta, JC, Adams, PA, Anderson, RH, Wilkinson, JL, Macartney, FJ.Cross-sectional echocardiographic assessment of coarctation in the sick neonate and infant. Br Heart J 1983;49:485494.CrossRefGoogle Scholar
Smallhorn, JF, Huhta, JC, Anderson, RH, Macartney, FJ.Suprasternal cross-sectional echocardiography in assessment of patent ductus arteriosus. Br Heart J 1982; 48: 321330.CrossRefGoogle Scholar
Huhta, JC, Smallhorn, JF, Macartney, FJ, Anderson, RH.Cross- sectional echocardiographic diagnosis of systemic venous return. Br Heart J 1982; 48: 388403.CrossRefGoogle ScholarPubMed
Omoto, R, Kyo, S, Matsumura, M, Adachi, H, Maruyama, M, Matsunaka, T.New direction of biplane transesophageal echocardiography with special emphasis on real-time biplane imaging and matrix phased-array biplane transducer. Echocardiography 1990; 6: 691698.CrossRefGoogle Scholar
Sreeram, N, Stumper, OFW, Kaulitz, R, Hess, J, Roekndt, JRTC, Sutherland, GR.Comparative roles of intra-operative epicardial and early postoperative transthoracic echocardiography in the assessment of surgical repair of congenital heart defects. J Am Coll Cardiol 1990; 16: 913920.CrossRefGoogle Scholar
Sheikh, KH, De Bruijn, NP, Rankin, JS, Clements, FM, Stanley, T, Wolfe, WG, Kisslo, J.The utility of transesophageal echocardiography and Doppler color flow imaging in patients undergoing cardiac valve surgery. J Am Coll Cardiol 1990; 15:363372.CrossRefGoogle ScholarPubMed
Seward, JB, Khanderia, BK, Oh, JK, Abel, MD, Hughes, RW Jr, Edwards, WD, Nichols, BA, Freeman, WK, Tajik, AJ.Transesophageal echocardiography: Technique, anatomic correlations, implementation and clinical applications. Mayo Clin Proc 1988; 63: 649680.CrossRefGoogle ScholarPubMed
Cohen, GI, Chan, Kwan-Leung, Walley, RH.Anatomic correlations of the long-axis views in biplane transesophageal echocardiography. Am J Cardiol 1990; 66: 10071012.CrossRefGoogle ScholarPubMed
Stumper, O, Fraser, AG, Ho, SY, Anderson, RH, Chow, L, Davies, MJ, Roelandt, TC Jr, Sutherland, GR.Transesophageal echocardiography in the longitudinal axis: correlation between anatomy and images and its clinical implications. Br Heart J 1990; 64: 282288.CrossRefGoogle ScholarPubMed
Kleinman, JP, Czer, LSC, DeRobertis, M, Chaux, A, Maurer, G.A quantitative comparison of transesophageal and epicardial color Doppler echocardiography in the intra-operative assessment of mitral regurgitation. Am J Cardiol 1989; 64: 11681172.CrossRefGoogle Scholar
Sreeram, N, Stumper, OFW, Kaulitz, R, Hess, J, Roelandt, JRTC, Sutherland, GR.Comparative value of transthoracic and transesophageal echocardiography in the assessment of congenital abnormalities of the atrioventricular junction. J Am Coll Cardiol 1990; 16: 12051214CrossRefGoogle ScholarPubMed